46 C.F.R. Exhibit No. 2 to Subpart S [§502.304(e) ] of Part 502—Respondent's Consent Form for Informal Adjudication
Title 46 - Shipping
Federal Maritime Commission, Washington, DC. Informal Docket No. ___ Respondent's Affidavit I authorize the Settlement Officer to determine the above-numbered claim in accordance with subpart S (46 CFR 502) of the Commission's informal procedure for adjudication of small claims subject to discretionary Commission Review. Verification State of ___________, County of __________, ss: ______, being first duly sworn on oath deposes and says that he or she is _________, (Title or Position) and is the person who signed the foregoing and agrees without qualification to its truth. Subscribed and sworn to before me, a notary public in and for the State of ________, County of ________, this ______ day of __________, 19__. (Seal) (Notary Public) Certificate of Service [See §502.320]
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PART 502—RULES OF PRACTICE AND PROCEDURE
Subpart S—Informal Procedure for Adjudication of Small Claims
Exhibit No. 2 to Subpart S [§
(Signed) ____________________
(Capacity) ____________________

